Objective Prognostic Criteria of Acute Pancreatitis: A Prospective Study

急性胰臓炎的客觀性預後標凖：一個前瞻性的研究

王聖腎(Sun-Sang Wang) ； 林鍚璋(Xi-Zhang Lin) ； 蔡養德(Yang-Te Tsai) ； 李壽東(Shou-Dong Lee) ； 林勤益(Ching-Yih Lin) ； 蘇正熙(Cheng-His Su) ； 李建腎(Chen-Hsen Lee) ； 潘慧本(Huay-Ban Pan) ； 謝淑珠(Shu-Chu Shiesh)

《中華民國消化系醫學會雜誌》 4卷2期 (1987/06) Pp. 63-67

https://doi.org/10.6557/GJTa.198706_4(2).0003

摘要

我們前膽性地衡量Ranson, Imrie, Bank及Agarwal這四種預後標準在82位中國急性胰臟炎病人的實用性。死亡率及重大併發症率在膽石相關及非膽石相關者，二羣之間沒有統計學上的差異。（死亡率：P值＝0.976，重大併發症率：P值＝0.992）。在這四種預後標準中，分數較高的病人，其死亡率及重大併發症率都較高。有一個很明顯的分界線顯示，Ranson標準三分及三分以上，Imrie,Bank,Agarwal標準一分及一分以上代表較高危險羣。我們的結論是，在中國急性胰臟炎病人的初期，使用這四種標準中的任何一項來判斷病人的預後都是很有用的。臨床經驗告訴我們，Ranson預後標準在臨床醫師間較易於意見溝通，但Agarwal預後標準較易於記憶。

關鍵字

預後 ； 急性胰臓炎

並列摘要

The usefulness of Ranson's, Imrie's, Bank's, and Agarwal's prognostic criteria in 82 Chinese patients with acute pancreatitis was prospectively evaluated. There seemed to have no significant difference between groups of patients with gallstone and non-gallstone pancreatitis in major complication rate (P=0.992) and mortality rate (P=0.967). The mortality and major complication rates increased in those with more prognostic signs by each criteria. There was a clear-cut line showing that three or more signs by Ranson's criteria, or one or more by Imrie's, Bank's, and Agarwal's criteria indicated higher risk. It is useful for a clinician to choose any one of them to predict the severity of acute pancreatitis in Chinese patients in the initial stage of the disease. By clinical experience, Ranson's criteria are easier for communication between clinicians, but Agarwal's criteria are easier to memorize.

並列關鍵字

prognosis ； acute pancreatitis